A Middle-Ground Proposal for Making Health Care Premiums More Affordable
Richard F Averill1, John S Hughes
1The Hesperium Group, Seymour, Connecticut (Mr Averill); and Yale University School of Medicine, New Haven, Connecticut (Dr Hughes).
The Journal of Ambulatory Care Management
|May 21, 2019
Summary
Finding a middle ground in US health care reform is crucial. A proposed Medicare Adherence Policy leverages Medicare
Area of Science:
- Health Policy
- Health Economics
- Insurance Markets
Background:
- Rising healthcare costs in the US present a significant political challenge.
- Achieving health care reform requires balancing government control and free-market principles.
- The competitive market for Medicare supplemental insurance offers insights into potential reform strategies.
Purpose of the Study:
- To propose a middle-ground health care reform option.
- To balance government intervention and free-market competition in health insurance.
- To leverage Medicare's pricing authority for a practical reform solution.
Main Methods:
- Analysis of the competitive market for Medicare supplemental insurance.
- Development of a Medicare Adherence Policy insurance option.
- Proposal leveraging Medicare's price-setting authority.
Main Results:
- Identified a viable middle-ground approach for health care reform.
- Demonstrated how Medicare's pricing authority can be utilized.
- Proposed a policy to balance government and market roles in health insurance.
Conclusions:
- A Medicare Adherence Policy offers a practical compromise for health care reform.
- This policy can balance the roles of government and the free market.
- Leveraging Medicare's authority can address the challenge of rising healthcare costs.
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